Average Medicaid Dental Cleaning & Exam Payments in Reading, PA: $31.64
Avg. Paid
$31.64
Range
$0.00 – $45.59
Total Claims
56,075
Providers
18
Typical Payment Range
Typical Medicaid Dental Cleaning & Exam payments fall between $25.53 and $40.26 per claim (median: $32.14). The top 10% of payments exceed $55.10.
Based on per-provider averages across all Medicaid claims in this category.
Routine dental cleaning (prophylaxis) and oral examination. Includes scaling, polishing, and assessment of oral health.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Dental Cleaning & Exam in Reading, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Rowan Robin Pereira
3302 N 5Th Street Hwy |
$38.21 | 11,572 | 10,702 |
|
Abed George Sneij
1146 Perkiomen Ave |
$31.70 | 9,673 | 9,629 |
|
Prashant Garg
3302 N 5Th St |
$27.92 | 6,557 | 6,499 |
|
Kamar Krayem
3302 N 5Th Street Hwy |
$28.40 | 5,431 | 5,387 |
|
Sanjeev Joshi
3302 N 5Th Street Hwy |
$26.76 | 5,138 | 4,947 |
|
Christopher J Kosenske
430 Kenhorst Blvd |
$24.91 | 4,235 | 4,129 |
|
Jared M Merin
2230 N 5Th Street Hwy |
$45.59 | 4,007 | 3,995 |
|
Philip Ebdlahad
236 N 5Th St |
$29.64 | 2,971 | 2,968 |
|
Lawrence Abouseif
2942 Saint Lawrence Ave |
$35.22 | 2,061 | 2,061 |
|
Samuel Hawkins
3302 N 5Th Street Hwy |
$28.35 | 1,519 | 1,484 |
|
Shad John Lewis
2211 Quarry Dr |
$30.85 | 1,191 | 1,186 |
|
Aynaz Imanian
145 N 6Th St |
$3.97 | 625 | 625 |
|
Umar Mirza
3302 N 5Th Street Hwy |
$25.08 | 471 | 295 |
|
Berks Community Health Center
838 Penn St |
$0.00 | 362 | 360 |
|
Jessica Godek
145 N 6Th St |
$32.55 | 222 | 218 |
|
Dental Dreams, Llc
3302 N 5Th Street Hwy |
$21.82 | 14 | 14 |
|
Safwan Ibrahim Shaaya
1027 Penn St |
$0.00 | 14 | 14 |
|
Malini Moni
838 Penn St |
$0.00 | 12 | 12 |
What to Expect: Dental Cleaning & Exam
A dental cleaning typically takes 30-60 minutes. A dental hygienist removes plaque and tartar from your teeth using specialized tools, then polishes your teeth. The dentist performs an oral exam to check for cavities, gum disease, and other conditions. X-rays may be taken. Most people need cleanings every 6 months.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation | $28.00 | 136,235,319 | 64,580 |
| D1120 | Child prophylaxis cleaning | $33.46 | 108,321,764 | 53,285 |
| D1110 | Adult prophylaxis cleaning | $43.53 | 58,293,656 | 54,558 |
| D0150 | Comprehensive oral evaluation | $37.52 | 46,846,802 | 53,166 |
| D0140 | Limited oral evaluation | $30.78 | 25,779,640 | 37,203 |
| D0145 | Oral eval patient <3 yrs | $77.14 | 5,590,205 | 11,270 |
| D0160 | Detailed oral evaluation | $41.80 | 694,698 | 945 |
| D0180 | Comprehensive perio evaluation | $25.65 | 198,480 | 674 |
| D0170 | Re-evaluation limited problem | $25.76 | 164,602 | 581 |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Dental Cleaning & Exam cost in Reading, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Cleaning & Exam in Reading, PA is $31.64 per claim, based on 56,075 claims from 18 providers. Typical payments fall between $25.53 and $40.26. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Dental Cleaning & Exam in Reading, PA?
There are 18 Medicaid providers offering Dental Cleaning & Exam related services in Reading, PA according to public payment data.
What is the price range for Dental Cleaning & Exam in Reading, PA?
Medicaid reimbursement for Dental Cleaning & Exam in Reading, PA ranges from $0.00 to $45.59 per claim, with an average of $31.64. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Dental Cleaning & Exam in Other Cities
Brooklyn, NY
Avg $29.76
5,899,905 claims · 889 providers
Chicago, IL
Avg $29.66
4,929,791 claims · 823 providers
Los Angeles, CA
Avg $49.60
3,990,780 claims · 877 providers
Houston, TX
Avg $39.95
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Bronx, NY
Avg $31.12
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New York, NY
Avg $30.52
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Phoenix, AZ
Avg $11.18
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San Antonio, TX
Avg $40.74
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